2024 PN NCLEX Questions Nursing Practice Question
A laboring client is experiencing late decelerations. Which position should she be placed in?
Correct Answer: A
Rationale: Late decelerations indicate potential fetal distress, often linked to uteroplacental insufficiency. Placing the client in the left lateral position optimizes blood flow to the uterus and placenta, improving fetal oxygenation.
Option B, lithotomy, is unsuitable as it can compress major blood vessels, worsening fetal distress. Option C, semi-Fowler's, does not provide the same level of uterine blood flow improvement as left lateral. Option D, right lateral, can also be beneficial but is less effective than the left lateral position in enhancing circulation and reducing pressure on the aorta and vena cava.